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r� —IFOR OFFICE USE ONLY I MIT# C 1�'© i 03`6 <br /> BUILDING PLANNING <br /> BIdgITl/Addn/Rem Size 11210 13 Zoning Classification <br /> Garage Size 411 4, Overlay/Agreement <br /> I l <br /> VALUATION 2 l 3 Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No._ Phone#: <br /> Reason Approved b a e: /(7 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No_ Calculated School Impact Fee: <br /> Approved by: Date:SA'S//L- School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> ( IJP 1- , 4 ,I ,S 0c) Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: k5 Date: 20 17 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee FIRE DEPARTMENT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes_ No Existing Bldg. <br /> Public Works Fee Update/New Detection Yes_ No_ Existing Bldg._ <br /> School Mitigation Fee Update/New Chemical Yes_ No_ Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />